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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Quality of tuberculosis care in India: A systematic review
International Journal of Tuberculosis and Lung Disease, Volume 19, No. 7, Year 2015
Notification
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Description
BACKGROUND: While Indian studies have assessed care providers' knowledge and practices, there is no systematic review on the quality of tuberculosis (TB) care. METHODS: We searched multiple sources to identify studies (2000-2014) on providers' knowledge and practices. We used the International Standards for TB Care to benchmark quality of care. RESULT S : Of the 47 studies included, 35 were questionnaire surveys and 12 used chart abstraction. None assessed actual practice using standardised patients. Heterogeneity in the findings precluded meta-analysis. Of 22 studies evaluating provider knowledge about using sputum smears for diagnosis, 10 found that less than half of providers had correct knowledge; 3 of 4 studies assessing self-reported practices by providers found that less than a quarter reported ordering smears for patients with chest symptoms. In 11 of 14 studies that assessed treatment, less than one third of providers knew the standard regimen for drug-susceptible TB. Adherence to standards in practice was generally lower than correct knowledge of those standards. Eleven studies with both public and private providers found higher levels of appropriate knowledge/practice in the public sector. CONCLUSIONS: Available evidence suggests suboptimal quality of TB care, particularly in the private sector. Improvement of quality of care should be a priority for India. © 2015 The Union.
Authors & Co-Authors
Satyanarayana, Srinath
Canada, Montreal
Université Mcgill
France, Paris
International Union Against Tuberculosis and Lung Disease
Subbaraman, Ramnath
United States, Boston
Harvard Medical School
Shete, Priya B.
United States, San Francisco
University of California, San Francisco
United States, San Francisco
San Francisco General Hospital and Trauma Center
Gore, Genevieve C.
Canada, Montreal
Université Mcgill
Das, Jishnu
United States, Washington, D.c.
The World Bank, Usa
Cattamanchi, Adithya
United States, San Francisco
University of California, San Francisco
United States, San Francisco
San Francisco General Hospital and Trauma Center
Mayer, Kenneth H.
United States, Boston
Fenway Community Health Center
Richard (Dick), Menzies
Canada, Montreal
Université Mcgill
Harries, Anthony David
France, Paris
International Union Against Tuberculosis and Lung Disease
United Kingdom, London
London School of Hygiene & Tropical Medicine
Hopewell, Philip C.
United States, San Francisco
University of California, San Francisco
United States, San Francisco
San Francisco General Hospital and Trauma Center
Pai, Madhukar
Canada, Montreal
Université Mcgill
Statistics
Citations: 115
Authors: 11
Affiliations: 8
Identifiers
Doi:
10.5588/ijtld.15.0186
ISSN:
10273719
Research Areas
Genetics And Genomics
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Systematic review